Paik Bomina, Kim Chang Woo, Park Sun Jin, Lee Kil Yeon, Lee Suk-Hwan
Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
Department of Surgery, Kyung Hee Medical Center, Kyung Hee University School of Medicine, Seoul, Korea.
Ann Coloproctol. 2018 Oct;34(5):266-270. doi: 10.3393/ac.2017.12.13. Epub 2018 Oct 10.
Stoma takedown is a frequently performed procedure with considerable postoperative morbidities. Various skin closure techniques have been introduced to reduce surgical site infections. The aim of this study was to assess postoperative outcomes after stoma takedown during a long-term follow-up period.
Between October 2006 and December 2015, 84 consecutive patients underwent a colostomy or ileostomy takedown at our institution. Baseline characteristics and perioperative outcomes were analyzed through retrospective reviews of medical records.
The proportion of male patients was 60.7%, and the mean age of the patients was 59.0 years. The overall complication rate was 28.6%, with the most common complication being prolonged ileus, followed by incisional hernia, anastomotic leakage, surgical site infection, anastomotic stenosis, and entero-cutaneous fistula. The mean follow-up period was 64.3 months. The univariate analysis revealed no risk factors related to overall complications or prolonged ileus.
The postoperative clinical course and long-term outcomes following stoma takedown were acceptable. Stoma takedown is a procedure that can be performed safely.
造口回纳是一种常施行的手术，术后有相当多的并发症。已引入多种皮肤缝合技术以减少手术部位感染。本研究的目的是评估造口回纳术后长期随访期间的结果。
2006年10月至2015年12月期间，我院连续84例患者接受了结肠造口术或回肠造口术的回纳手术。通过回顾病历分析基线特征和围手术期结果。
男性患者比例为60.7%，患者平均年龄为59.0岁。总体并发症发生率为28.6%，最常见的并发症是肠梗阻延长，其次是切口疝、吻合口漏、手术部位感染、吻合口狭窄和肠皮肤瘘。平均随访期为64.3个月。单因素分析未发现与总体并发症或肠梗阻延长相关的危险因素。
造口回纳术后的临床病程和长期结果是可以接受的。造口回纳是一种可以安全施行的手术。
